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Usefulness of strain imaging to determine prognosis in pulmonary hypertension

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dc.contributor.authorMonivas Palomero, V.
dc.contributor.authorRemior, P.
dc.contributor.authorGarcia-Rodriguez, D.
dc.contributor.authorGarcia-Gomez, S.
dc.contributor.authorGarcia-Izquierdo, E.
dc.contributor.authorBorrego, A.
dc.contributor.authorNavarro, S.
dc.contributor.authorMartínez Mingo, Alejandro
dc.contributor.authorArellano-Serrano, C.
dc.contributor.authorOteo, J.F.
dc.contributor.authorGarcia-Touchard, A.
dc.contributor.authorGoicolea, J.F.
dc.contributor.authorHernandez Perez, F.
dc.contributor.authorMingo, S.
dc.date.accessioned2025-10-27T14:45:12Z
dc.date.available2025-10-27T14:45:12Z
dc.date.issued2020-11-25
dc.descriptionThe registered version of this article, first published in European Heart Journal, is available online at the publisher's website: Oxford University Press; European Society of Cardiology, https://doi.org/10.1093/ehjci/ehaa946.0141
dc.descriptionLa versión registrada de este artículo, publicado por primera vez en European Heart Journal, está disponible en línea en el sitio web del editor: Oxford University Press; European Society of Cardiology, https://doi.org/10.1093/ehjci/ehaa946.0141
dc.description.abstractAbstract Introduction Pulmonary hypertension (PH) is defined as mean pulmonary arterial pressure (mPAP) ≥25 mmHg at rest, measured by right heart catheterization (RHC). Purpose To describe classical and myocardial deformation echocardiographic parameters in patients with established PH and to identify prognostic variables Methods We prospectively enrolled 76 patients with mPAP ≥25 mmHg undergoing RHC between 2017 and 2018. All subjects underwent transthoracic echocardiography (TTE) according to the latest ASE/EACVI guidelines the same day of the RHC. Strain analysis was carried out by speckle-tracking echocardiography (QLAB 10.7, Philips). Clinical events during the follow-up were: acute heart failure hospitalization, cardiac transplant and all-cause mortality. Results Mean age was 59±12, 43.4% were women and 49 patients (64.5%) belonged to group 2 of PH. The median follow-up was 288 (ICR 92–534) days. Total number of events was 42 (55.3%, 9 deaths). Variables associated to events are shown in Table 1. All classic LV and RV systolic function and strain parameters were associated with a worse prognosis, being free-wall RV longitudinal strain (RVLS) the only one that remained as a prognostic factor in mutivariate analysis. Other variables associated with a worse prognosis were PCP>15 mmHg and NT-proBNP>1800, the latter being independent predictor of events. The attached figure shows event-free survival curves for the global population divided according to whether or not they belong to group II PH. Conclusions Our data highlight the prognostic value of free-wall RVLS and NT-proBNP in patients with established PH. NT-ProBNP was only useful in group II PH while free-wall RVLS identified patients with a higher risk of events in both groups, mainly in patients with heart diseaseen
dc.description.provenanceMade available in DSpace on 2025-10-27T14:45:12Z (GMT). No. of bitstreams: 1 Usefulness of strain imaging.pdf: 210438 bytes, checksum: cdca11b7eaeac796d168e9a4348a1587 (MD5) Previous issue date: 2020-11-25en
dc.description.versionversión publicada
dc.identifier.citationMonivas Palomero, V., Remior, P., García-Rodríguez, D., García-Gómez, S., García-Izquierdo, E., Borrego, A., Navarro, S., Martínez Mingo, A., Arellano-Serrano, C., Oteo, J. F., García-Touchard, A., Goicolea, J. F., Hernández Pérez, F., & Mingo, S. (2020). Usefulness of strain imaging to determine prognosis in pulmonary hypertension. European Heart Journal, 41(Suppl 2), ehaa946.0141. https://doi.org/10.1093/ehjci/ehaa946.0141
dc.identifier.doihttps://doi.org/10.1093/ehjci/ehaa946.0141
dc.identifier.issn1522-9645
dc.identifier.urihttps://hdl.handle.net/20.500.14468/30641
dc.journal.issueSuppl 2
dc.journal.titleEuropean Heart Journal
dc.journal.volume41
dc.language.isoen
dc.publisherOxford University Press; European Society of Cardiology
dc.relation.centerFacultad de Psicología
dc.relation.departmentMetodología de las Ciencias del Comportamiento
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/deed.es
dc.subject61 Psicología
dc.subject.keywordsTissue Doppleren
dc.subject.keywordsSpeckle Trackingen
dc.subject.keywordsStrain Imagingen
dc.titleUsefulness of strain imaging to determine prognosis in pulmonary hypertensionen
dc.typeartículoes
dc.typejournal articleen
dspace.entity.typePublication
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relation.isAuthorOfPublication.latestForDiscoveryb983cf3d-276e-461e-a115-b07f4de7a599
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